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NCCN Guidelines for Patients


Stomach Cancer, Version 1.2016


Overview of cancer treatments Chemotherapy

Side effects of chemotherapy

Side effects of chemotherapy depend on many

factors. These factors include the drug type, amount

taken, length of treatment, and the person. Some

people have many side effects. Others have few.

Some side effects can be very serious while others

can be unpleasant but not serious. Most side effects

appear shortly after treatment starts and will stop after

treatment. However, other side effects are long-term

or may appear years later.

In general, most side effects are caused by the death

of fast-growing cells. These cells are found in the

blood, gut, hair follicles, and mouth. Thus, common

side effects include low blood cell counts, not feeling

hungry, nausea, vomiting, diarrhea, hair loss, and

mouth sores. Your nails may also change in color,

strength, dryness, and smoothness.

Another common side effect of some chemotherapy

drugs is sensory neuropathy. Sensory neuropathy

is damage to sensory nerves. It can be caused by

oxaliplatin, paclitaxel, docetaxel, and 5-FU.

Symptoms of sensory neuropathy include numbness,

tingling, and pain in fingers and toes. You may also

have sensitivity to cold and pain to light touch. It may

take months or years for symptoms to resolve. For

some people, sensory neuropathy is permanent. Talk

with your doctor about ways to prevent or reduce the

symptoms of sensory neuropathy.

Not all side effects of chemotherapy are listed here.

Please ask your treatment team for a complete list of

common and rare side effects. If a side effect bothers

you, tell your treatment team. There may be ways to

help you feel better.

Complementary and alternative medicine



omplementary and




edicine) is a group of treatments that

aren’t often given by doctors. There is much interest today in CAM for cancer.

Many CAMs are being studied to see if they are truly helpful.

Complementary medicines are treatments given along with usual medical

treatments. While CAMs aren’t known to kill cancer cells, they may improve

your comfort and well-being. Two examples are acupuncture for pain

management and yoga for relaxation.

Alternative medicine is used in place of usual medicine. Some alternative

medicines are sold as cures even though they haven’t been proven to work. If

there was good proof that CAMs or other treatments cured cancer, they would

be included in this book.

It is important to tell your treatment team if you are using any CAMs. They

can tell you which CAMs may be helpful and which CAMs may limit how well

medical treatments work.